| NPI | 1538897798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALPHA MERCHANT Owner 520-299-1736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |